Organization Active NPI

Senior Script Pharmacy, LLC

  • Long Term Care Pharmacy
  • Denham Springs, LA
National Provider Identifier
1952835753
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY.007501-IR Issued in LA
Legal business name
SENIOR SCRIPT PHARMACY, LLC
Practice address
26737 La Highway 1032
Denham Springs, LA 70726-4926
Phone
(318) 443-9195
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel T Mahfouz
Title
Managing Member
Phone
(318) 443-9195

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY.007501-IR LA Primary

Addresses

Primary practice location

26737 La Highway 1032
Denham Springs, LA 70726-4926

Mailing address

1412 Centre CT
Suite 503
Alexandria, LA 71301-3400

Other identifiers 1

IdentifierTypeStateIssuer
2205331MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1952835753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 CENTRE CT",
            "address_2": "SUITE 503",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26737 LA HIGHWAY 1032",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264926",
            "telephone_number": "318-443-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SCRIPT PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "MAHFOUZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-443-9195"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "LA",
            "license": "PHY.007501-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205331",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.